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NPI Code Detail

MEDICARE: MISS MEGAN A FLYNN PA-C

MEDICARE: MISS MEGAN A FLYNN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantC0002979MD
2363AM0700XMedical Physician AssistantPA9106001FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720020605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MEGAN A FLYNN PA-C
Provider Business Mailing Address
First Line : 10150 HIGHLAND MANOR DR STE 205
Second Line :
City : TAMPA
State : FL
Zip : 33610-9727
Country : US
Telephone Number : 813-259-1013
Fax Number : 813-254-0396
Provider Business Practice Location Address
First Line : 10150 HIGHLAND MANOR DR STE 205
Second Line :
City : TAMPA
State : FL
Zip : 33610-9727
Country : US
Telephone Number : 813-259-1013
Fax Number : 813-254-0396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/01/2025

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Directions to “ MISS MEGAN A FLYNN PA-C” Practice Location

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